Express Scripts UBC - Supervisor, Eligibility in Memphis, Tennessee
Job ID: REQ20004864
The Supervisor – Eligibility manages a team of Eligibility Associates responsible for coordinating, tracking and maintaining patient eligibility for a program using established guidelines and procedures in response to patient and physician calls. This position may also oversee billing and collections operations and/or activities related to obtaining health insurance benefits or other financial assistance for patients. This position continuously monitors and identifies areas in which day-to-day operational efficiencies can be increased, re-work can be decreased and overall production of the department falls within established productivity and quality standards.
Assists with the development of short & long-term goals for department and plan of implementation to bring to completion for on-going success of department. Ensures the success of maintaining strong working relations with clients and prompt communication regarding concerns or problem resolution occurs.
Direct assigned team members in accordance with departmental management initiatives. Schedule & facilitate routine staff meetings to communicate department/company processes and/or changes. Follow up with assigned coordinators to ensure policies and procedures are understood and compliant.
Provides department leadership in the area of staff performance including mentoring, auditing, productivity monitoring and coaching for success. Corresponds with management on employee/HR issues, state of the department and any service issues involving key clients or legal risk issues to the company.
Analyze reporting data trends within team relative to quality to ensure efficiency and productivity requirements are maximized to benefit patients. Provide feedback to team related to productivity and efficiency. Assist team members to resolve patient concerns and handling escalated issues relative to prior authorizations, benefits/eligibility, etc. Monitor quality and case volume through the generation of client database and Call Center reports, random call monitoring and random case file audits.
Bachelor’s degree or 6 – 8 years equivalent experience
0-2 years relevant experience to include 1 year experience in insurance background or health related field; Previous leadership experience preferred
Strong knowledge of Word, Excel & Power Point preferred
Must possess excellent oral and written communication skills; Ability to coordinate/host meetings with large groups; Ability to interpret data/metrics within the database system and staffing tools and interpret data for application
ABOUT EXPRESS SCRIPTS
Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.
United BioSource Corporation (UBC) is the leading provider of integrated development and commercial support solutions that deliver evidence of safe use, while optimizing access to mediation and care.
UBC leverages our specialty pharmacy therapy expertise and contracts for specialty pharmacy and specialty distribution services.
UBC's services include reimbursement, patient assistance and alternate funding programs, channel optimization through specialty pharmacy, specialty distribution and 3PL services, Customized clinical adherence and commercialization strategies powered by Express Scripts data.